7,120 results match your criteria: "Stroke Motor Impairment"

Social connectedness is fundamental to health and life satisfaction. Empathic capacities that support social connections are commonly impaired following damage to the brain's right hemisphere, but how these acquired socio-emotional deficits correspond to real-world social outcomes remains unclear. Using anatomical brain imaging and behavioral data from a large sample of stroke survivors included in the UK Biobank (n = 209), we link damage to regions of the right hemisphere involved in emotion recognition to lower social relationship satisfaction and higher loneliness.

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Background: Stroke often impairs upper extremity motor function, with recovery in the sub-acute phase being crucial for regaining independence. This study examines changes in isometric muscle strength, dexterity, and self-care independence during this period, and evaluates the effects of a comprehensive intensive rehabilitation (COMIRESTROKE).

Methods: Individuals in sub-acute stroke recovery and age- and sex-matched controls were assessed for pre- and post-rehabilitation differences in primary outcomes (grip/pinch strength, Nine Hole Peg Test [NHPT], Action Research Arm Test [ARAT]).

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Individuals with neurodevelopmental disorders exhibit overlapping emotional, somatosensory and motor deficits. Although brain processes underlying these impairments have been extensively studied in a separate way, the brain interaction of these inputs is an innovative line of research. Here we present a new EEG methodology for exploring the interactive brain activity of sensorimotor and affective stimuli.

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Background: Adverse non-motor outcomes have a major impact on patients and caregivers after stroke, but knowledge of their prevalence, predictors and patterns across multiple health domains remains limited; we therefore aimed to obtain these data in a large observational prospective cohort study.

Methods: We included data from the Stroke Investigation Group in North and Central London (SIGNAL) registry based at the University College London Hospitals (UCLH) Comprehensive Stroke Service which serves a multi-ethnic population of ∼1.6 million people.

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Background: Parkinson's disease (PD) is often characterized by altered rates and patterns of neuronal activity in the sensorimotor regions of the basal ganglia thalamocortical network. Little is known, however, regarding how neuronal activity in the executive control network of the brain changes in the parkinsonian condition.

Objective: Investigate the impact of parkinsonism on neuronal activity in the dorsolateral prefrontal cortex (DLPFC), a key region in executive control, during a go/nogo reaching task.

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Background And Objectives: Brain-computer interfaces () hold promise as augmentative and alternative communication technology for people with severe motor and speech impairment (locked-in syndrome) due to neural disease or injury. Although such BCIs should be available 24/7, to enable communication at all times, feasibility of nocturnal BCI use has not been investigated. Here, we addressed this question using data from an individual with amyotrophic lateral sclerosis (ALS) who was implanted with an electrocorticography-based BCI that enabled the generation of click-commands for spelling words and call-caregiver signals.

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Background: Upper limb rehabilitation robot is a relatively new technology, but its effectiveness remains debatable due to the inconsistent results of clinical trials. This article intends to assess how upper limb rehabilitation robots help the functional recovery of stroke patients.

Methods: PubMed, Embase, Cochrane Library, and Web of Science databases were searched for eligible studies to explore the effect of upper limb rehabilitation robots on upper limb motor function, muscle tone, and daily living activities.

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Article Synopsis
  • * This study aims to analyze motor and functional recovery in hemiparetic patients within the first six months after ischemic stroke, focusing on rehabilitation methods like kinesiotherapy, physiotherapy, and transcranial magnetic stimulation.
  • * Research on 113 patients showed that two-thirds had severe motor impairments, with half experiencing balance issues, highlighting the urgent need for effective rehabilitation strategies in stroke recovery.
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Article Synopsis
  • - The study investigates the role of plasma gelsolin (pGSN), a protein that breaks down actin filaments, in inflammatory and neurodegenerative diseases, particularly in a mouse model of decompression sickness (DCS).
  • - Mice exposed to high pressure showed a significant decrease in pGSN levels and increased inflammatory microparticles (MPs), which led to neuroinflammation and cognitive/motor function impairments lasting over 12 days.
  • - Administering recombinant human plasma gelsolin (rhu-pGSN) effectively reduced inflammation, restored synaptic protein levels, and improved neurological function, suggesting that rhu-pGSN could be a potential treatment for DCS.
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Objective: Advancements in neuroimaging technologies have significantly deepened our understanding of the neural physiopathology associated with stroke. Nevertheless, the majority of studies ignored the characteristics of dynamic changes in brain networks. The relationship between dynamic changes in brain networks and the severity of motor dysfunction after stroke needs further investigation.

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Background: The ability to relearn a lost skill is critical to motor recovery after a stroke. Previous studies indicate that stroke typically affects the processes underlying motor control and execution but not the learning of those skills. However, these studies could be confounded by the presence of significant motor impairments.

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Objective: To assess the feasibility and safety of conducting robot-mediated impairment training (RMIT) and robot-mediated task-specific training (RMTT). The device deployed is the Optimo Regen (OR), capable of delivering both impairment-oriented training and task-specific training.

Methods: This was a single-centre, randomized, single-blinded, two-arm, parallel group, controlled trial.

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Article Synopsis
  • Mild traumatic brain injury (mTBI) is common, making up nearly 80% of all brain injuries, and it can cause neurological and cognitive issues even without visible damage.
  • Combining low doses of FDA-approved drugs lithium and valproate after a mild TBI has shown to improve learning and memory, recognizing that these benefits were not observed when either drug was used alone.
  • The treatment also reduced neuroinflammation, suggesting that this combination therapy might help mitigate damage and enhance cognitive function following mild brain injuries.
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AI Applications in Adult Stroke Recovery and Rehabilitation: A Scoping Review Using AI.

Sensors (Basel)

October 2024

Occupational Therapy, School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, VIC 3086, Australia.

Article Synopsis
  • - Stroke is a major cause of long-term disability, and advancements in AI and sensor technology could enhance the quality of care and rehabilitation for stroke patients by using data to improve treatment precision and efficiency.
  • - A review of 704 studies identified four key themes in AI applications for stroke recovery: impairment (focusing on motor skills), assisted interventions (like robotics and brain-computer interfaces), predictive analytics, and neuroscience, revealing trends in the progression of AI techniques over time.
  • - The research highlights that AI can personalize rehabilitation processes through methods like machine learning and sensor technology, particularly for upper limb recovery, ultimately aiming to improve rehabilitation outcomes and facilitate real-world recovery.
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Kinematic-Muscular Synergies Describe Human Locomotion with a Set of Functional Synergies.

Biomimetics (Basel)

October 2024

Advanced Methods for Biomedical Signal and Image Processing Laboratory, Institute of Intelligent Industrial Systems and Technologies for Advanced Manufacturing (STIIMA), Italian Council of National Research (CNR), 20133 Milan, Italy.

Kinematics, kinetics and biomechanics of human gait are widely investigated fields of research. The biomechanics of locomotion have been described as characterizing muscle activations and synergistic control, i.e.

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Motor impairments caused by stroke significantly affect daily activities and reduce quality of life, highlighting the need for effective rehabilitation strategies. This study presents a novel approach to classifying motor tasks using EEG data from acute stroke patients, focusing on left-hand motor imagery, right-hand motor imagery, and rest states. By using advanced source localization techniques, such as Minimum Norm Estimation (MNE), dipole fitting, and beamforming, integrated with a customized Residual Convolutional Neural Network (ResNetCNN) architecture, we achieved superior spatial pattern recognition in EEG data.

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Article Synopsis
  • Cerebral ischemia causes poor blood flow and increases reactive oxygen species (ROS), which can be targeted by drug delivery systems to improve treatment outcomes and reduce side effects.
  • The study developed ROS-responsive chitosan-bilirubin (ChiBil) nanoparticles with atorvastatin to target stroke lesions in rats, comparing their effects to control treatments over a week.
  • Results showed that the ChiBil-Statin group significantly improved motor skills, reduced brain cell damage, and decreased harmful inflammation levels, indicating their potential as an effective therapy for ischemic stroke.
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Background: As individuals age, the incidence and mortality rates of cerebrovascular accidents significantly rise, leading to fine motor impairments and cognitive deficits that impact daily life. In modern occupational therapy, assessing manual dexterity and cognitive functions typically involves observation of patients interacting with physical objects. However, this pen-and-paper method is not only time-consuming, relying heavily on therapist involvement, but also often inaccurate.

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Terminal heart failure presents challenges, requiring cardiac transplantation, or mechanical circulatory support. Limited donor organ availability has made mechanical support crucial. Advances in centrifugal-flow systems, compared to axial-flow, have improved patient outcomes by reducing adverse events.

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Background: Effective post-stroke mobility, recovery, performance, and participation are key goals for stroke survivors. However, these outcomes may be hindered by post-stroke fatigue (PSF), which can affect numerous aspects of post-stroke mobility, recovery, performance, functioning, community participation, and return to work. This review aimed to assess the scientific evidence on the relationship between PSF and mobility function, functional recovery, functional performance, and participation-related outcomes among stroke survivors.

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Brain-movement relationship during upper-limb functional movements in chronic post-stroke patients.

J Neuroeng Rehabil

October 2024

EuroMov Digital Health in Motion, Univ Montpellier, IMT Mines Ales, Montpellier, France.

Background: Following a stroke, brain activation reorganisation, movement compensatory strategies, motor performance and their evolution through rehabilitation are matters of importance for clinicians. Two non-invasive neuroimaging methods allow for recording task-related brain activation: functional near-infrared spectroscopy (fNIRS) and electroencephalography (fEEG), respectively based on hemodynamic response and neuronal electrical activity. Their simultaneous measurement during movements could allow a better spatiotemporal mapping of brain activation, and when associated to kinematic parameters could unveil underlying mechanisms of functional upper limb (UL) recovery.

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The home-based training approach benefits stroke survivors by providing them with an increased amount of training time and greater feasibility in terms of their training schedule, particularly for those with severe motor impairment. Computer-guided training systems provide visual feedback with correct movement patterns during home-based training. This study aimed to investigate the improvement in motor performance among stroke survivors with moderate to severe motor impairment after 800 min of training using a home-based guidance training system with interactive visual feedback.

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Background And Purpose: Stroke can lead to significant after-effects, including motor function impairments, language impairments (aphasia), disorders of consciousness (DoC), and cognitive deficits. Computer-aided analysis of EEG connectivity matrices and microstates from bedside EEG monitoring can replace traditional clinical observation methods, offering an automatic approach to monitoring the progression of these after-effects. This EEG-based method also enables quicker and more efficient assessments for medical practitioners.

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